Active NPI
Shiori Kinoshita, N.P.
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1104260355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F306268
- Practice address
- 234 E 85TH St FL 2
New York, NY 10028-3001 - Phone
- (212) 241-6585
- Fax
- (212) 731-3391
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F340869 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F306268 | NY | Primary |
Addresses
Primary practice location
234 E 85TH St FL 2
New York, NY 10028-3001
Mailing address
786 George St
Teaneck, NJ 07666-5354
Phone (646) 549-6520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
234 E 85TH St
New York, NY 10028-3001
Phone (212) 241-6585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306268 | NY | MD | Adult Health Nurse Practitioner |
| 340869 | NY | MD | Family Nurse Practitioner |
| F340869 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
234 E 85th St
Fl 2
New York, NY 10028
Phone (212) 241-6585
234 E 85th St
New York, NY 10028
Phone (212) 241-6585
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1104260355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 GEORGE ST",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665354",
"telephone_number": "646-549-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E 85TH ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100283001",
"telephone_number": "212-241-6585",
"fax_number": "212-731-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINOSHITA",
"first_name": "SHIORI",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F340869",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.